1. Barbara Keehn BSN, RN Project Director

2.  Substance Abuse Mental Health Services Administration Applicant: Office of the Governor Lead Agency: Department of Mental Health, Division of Alcohol and Drug Abuse Administered by the Missouri Institute of Mental Health

3.  National SBIRT sites 2003 California Illinois New Mexico Pennsylvania Texas Washington 2006 Colorado Florida Massachusetts Wisconsin 2008 Alaska West Virginia Missouri Georgia 2011 Indiana North Carolina Tennessee Illinois Colorado Connecticut American Samoa New York Washington

4.  National SBIRT Accomplishments Alcohol use to level of intoxication (5+drinks) declined 38% Use of any illicit drugs decreased 50% Nearly 50% of those who have a brief intervention changed their patterns of misuse N=11 States

5. St. Louis Columbia Springfield Current Locations St. Louis Grace Hill Neighborhood Clinics Columbia University Hospital ER Univ. of MO Student Health Family Health Center MO Psychiatric Center Springfield Cox North ER Cox South ER Skaggs ER Citizen’s Memorial ER

6.  MOSBIRT Patient Outcomes (N=124) (Based on 6 month follow-up of days used substances in past 30 days)

7.  MOSBIRT Patient Satisfaction (N=175) (Based on 5 point scale 1=Strongly disagree to 5=strongly agree)

8.  Billing Codes

9. Question and Answer Conference Call Friday, April 20, 2012 9 a.m.-11 a.m. Toll Free 1-866-630-9352 Regional Trainings-Motivational Interviewing and Brief Coaching Jordan Valley-SpringfieldApril 26-27 People’s Clinic-St. LouisMay 1-2 Primary Care Assoc.-Jeff CityMay 9-10 Sam Rogers-Kansas CityMay 22-23